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Physiological Testing

Note: Some of these tests address issues that overlap with Health Challenges, but they may also need to be conducted for an IEP or other accommodation.

Based on parent concerns, teacher feedback and advice from doctors and others, the following physiological tests may be conducted by specialists trained to conduct these tests.

Grooved or Purdue Pegboard for ages 5 to 18 to measure a  child’s ability to manipulate the small muscles of the hand for fine motor skills. It also measures hand-eye coordination. Drawings also maybe used to evaluate fine motor skills, as well as, maturity level.

A range of physical tests to assess the ability to balance, coordination, range of motion, gross motor, fine motor and graphomotor skills (combination of cognitive, perceptual and motor skills which enable a person to write).

Audiology tests such as pure tone audiometry, tympanometry, speech audiometry, auditory reflex testing, auto-acoustic emissions, brainstem response, auditory processing, Cortical evoked response audiometry, ENG chair test, Caloric test, Posturography, Electrocochleography, tests for middle ear.

Speech-language testing where a Speech Language Pathologist (SLP) observes the adult or child speak in different types of situations. The SLP will listen to your child to hear how he says sounds, moves his lips, jaw, and tongue and may also test your child’s language skills.

Speech Reception Threshold (SRT) test is a speech test that looks at how well a child listens to and repeats words.

Denver articulation screening exam (DASE) is a commonly used testing system to diagnose articulation disorders. This test evaluates the clarity in pronunciation in children between the ages of 2 and 7. This five-minute test uses various exercises to assess the child’s speech.

Early Language Milestones Scale 2 determines a child’s language development. This test can quickly identify delayed speech or language disorders.

Snellen Vision Test is also known as the visual acuity test. The child is asked to read the letters with each eye separately and both together. Ability to read the letters at each size determines the visual acuity.

Visual Field Test is the range of vision that a person can see without tilting or turning one’s head. This measures the peripheral vision of the eyes.

Tonometry test uses specialized instruments to determine fluid pressure inside the eye to evaluate for glaucoma.

Ocular Motility Assessment tests if there is squint of other problems in the movement of the eyeballs.

Visually Evoked Potential (VEP), Electroretinogram (ERG), Electrooculogram (EOG) are sometimes prescribed to test if the signals from the eye are traveling adequately to the brain.

Other vision tests to measure contrast sensitivity, depth, color vision, binocular function, visual search, Glare and Light/Dark adaptation, visual efficiency,

Psychiatric Evaluations for various disorders maybe done by the parents if they suspect mental health issues. Schools usually do not facilitate this evaluation. The diagnosis from these evaluations will influence an IEP, 504 Plan or accommodations. Disorders can include: mood disorders (depression, bipolar etc.), anxiety disorders (OCD, phobias, panic), personality disorders, psychotic disorders (such as schizophrenia), eating disorders (bulimia, anorexia), trauma-related disorders (such as post-traumatic stress disorder) and substance abuse disorders.



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